Dagitz, Madison Jane

Dagitz, Madison Jane is an individual health care provider with primary practice located at 2021 E Hennepin Ave Ste Ll20 , Minneapolis MN 55413-2738. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Dagitz, Madison Jane can be contacted via phone (612) 259-7711.

Contact Information

Primary practice address
2021 E Hennepin Ave Ste Ll20 Minneapolis MN 55413-2738
Phone: (612) 259-7711
Fax: (612) 345-4609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1922744200
LBN Legal business name Dagitz, Madison Jane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2022
Last updated May 9th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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